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Three-dimensional (3-D) freehand ultrasound (US) imaging has been applied to the investigation of spine deformity. However, it is a challenge for the current 3-D imaging reconstruction algorithms to achieve a balance between image quality and computation time. The objectives of this article are to implement a new fast reconstruction algorithm that can fulfill the request of immediate demonstration and processing for high-quality 3-D spine imaging, and to evaluate the reliability and accuracy of scoliotic curvature measurement when using the algorithm. The fast dot-projection (FDP) algorithm was applied for voxel-based nearest neighbor (VNN), multiple plane interpolation (MPI), and pixel nearest neighbor (PNN) protocols to reduce the reconstruction time. The 3-D image volume was reconstructed from the datasets acquired from scoliotic subjects. The computational cost, image characteristics, and statistical analyses of curve measurements were compared and evaluated among different reconstruction protocols. The results illustrated that the 3-D spine images using the FDP-MPI4 algorithm showed higher brightness (20%), contrast (14%), and signal-to-noise ratio (SNR) (26%) than FDP-VNN. The measurement performed by trainee rater exhibited significant improvement in measurement reliability and accuracy using FDP-MPI4 in comparison with FDP-VNN (${p} < 0.01$), and the intraclass correlation coefficient (ICC) of interrater measurement increased from 0.88 to 0.96. The FDP-PNN method could acquire and reconstruct spine images simultaneously and present the results in 1–2 min, which showed the potential to provide the approximate real-time visualization for fast screening. [ABSTRACT FROM AUTHOR]

A wearable flexible sensor fabricated on an ultrathin substrate is proposed for sleep respiratory monitoring in nasal cavity. The sensitive unit is composed of aurum multiturn microcoil fabricated on the surface of a polyimide catheter by the rotated lithography system, and the signal measurement is based on the principle of thermal resistance. The signal simulation and performance tests of the respiration sensor have been conducted, which demonstrate that the sensor has great performance in anti-interference, response speed, sensitivity, durability, and stability in long-time usage. The practical human tests in various simulated respiratory disease situations, mainly including apnea and hypopnea, display clear differences between normal and abnormal breathing signals measured by the sensor. The respiratory signals measured by this sensor can be utilized to analyze the various respiratory disease conditions. The presented wearable ultrathin flexible respiratory sensor has shown great potential for preliminary diagnosis of sleep respiratory diseases and sleep health monitoring. [ABSTRACT FROM AUTHOR]

The ultrasound (US) imaging technique has been applied to scoliosis assessment, and the proxy Cobb angle can be acquired on the US coronal images. The spinous process angle (SPA) is a valuable parameter to indicate 3-D deformity of spine. However, the SPA cannot be measured on US images since the spinous process (SP) is merged in the soft tissue layer and impossible to be identified on the coronal view directly. A new method based on the gradient vector flow (GVF) snake model was proposed to automatically locate SP position on the US transverse images, and the density-based spatial clustering of application with noise (DBSCAN) was used to remove the outliers out of the detected location results. With marking the SP points on the US coronal image, the SP curve was interpolated and the SPA was measured. The algorithm was evaluated on 50 subjects with various severity of scoliosis, and two raters measured the SPA on both US images and radiographs manually. The mean absolute differences (MADs) of SPAs obtained from the two modalities were 3.4° ± 2.4° and 3.6° ± 2.8° for the two raters, respectively, which were less than the clinical acceptance error (5°), and the results reported a good linear correlation (r > 0.85) between the US method and radiography. It indicates that the proposed method can be a promising approach for SPA measurement using the US imaging technique. [ABSTRACT FROM AUTHOR]

Machine learning has been widely used in medical image analysis under an assumption that the training and test data are under the same feature distributions. However, medical images from difference devices or the same device with different parameter settings are often contaminated with different amount and types of noises, which violate the above assumption. Therefore, the models trained using data from one device or setting often fail to work for that from another. Moreover, it is very expensive and tedious to label data and re-train models for all different devices or settings. To overcome this noise adaptation issue, it is necessary to leverage on the models trained with data from one device or setting for new data. In this paper, we reformulate this noise adaptation task as an image-to-image translation task such that the noise patterns from the test data are modified to be similar to those from the training data while the contents of the data are unchanged. In this paper, we propose a novel Noise Adaptation Generative Adversarial Network (NAGAN), which contains a generator and two discriminators. The generator aims to map the data from source domain to target domain. Among the two discriminators, one discriminator enforces the generated images to have the same noise patterns as those from the target domain, and the second discriminator enforces the content to be preserved in the generated images. We apply the proposed NAGAN on both optical coherence tomography (OCT) images and ultrasound images. Results show that the method is able to translate the noise style. In addition, we also evaluate our proposed method with segmentation task in OCT and classification task in ultrasound. The experimental results show that the proposed NAGAN improves the analysis outcome. [ABSTRACT FROM AUTHOR]